Orofacial cleft, lip, alveolar bone and/or palate (CLP) is one of the most common congenital birth defects worldwide affecting up to 1 in 700 children. 1 Patients with CLP suffer from negative self-confidence due to functional and aesthetic impairments, therefore, surgical techniques have been introduced to improve both types of impairments such as alveolar bone grafting. 2,3 Secondary alveolar bone grafting (SABG) is usually performed on children at the age of 8-12 years when the canine roots are one-half to two-thirds